Individual
DR. WALTER JAY FRAZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
807 W GRAND AVE, HOT SPRINGS, AR 71913-3528
(501) 623-1000
(501) 623-1506
Mailing address
807 WEST GRAND AVE, HOT SPRINGS, AR 71913-3528
(501) 623-1000
(501) 623-1506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2508
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10246768
—
AR
Enumeration date
03/20/2007
Last updated
07/08/2007
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